Provider Demographics
NPI:1427046168
Name:CHAO, NAOMI C (PHD)
Entity Type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:C
Last Name:CHAO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1224 SANTA ANITA AVE
Mailing Address - Street 2:SUITE B1
Mailing Address - City:S EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-3842
Mailing Address - Country:US
Mailing Address - Phone:626-688-1275
Mailing Address - Fax:951-827-2015
Practice Address - Street 1:1224 SANTA ANITA AVE
Practice Address - Street 2:SUITE B1
Practice Address - City:S EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-3842
Practice Address - Country:US
Practice Address - Phone:626-688-1275
Practice Address - Fax:951-827-2015
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14523103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical